| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,161 |
2,528 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,175 |
917 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
991 |
788 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
989 |
784 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,897 |
1,648 |
$30K |
| 87428 |
|
240 |
219 |
$15K |
| 90670 |
|
907 |
708 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
115 |
$10K |
| 90648 |
|
929 |
726 |
$7K |
| 90686 |
|
574 |
494 |
$5K |
| 90723 |
|
563 |
437 |
$4K |
| 87807 |
|
300 |
252 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
149 |
$3K |
| 90633 |
|
290 |
218 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 90681 |
|
177 |
120 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
92 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
62 |
$959.34 |
| 90710 |
|
65 |
39 |
$824.50 |
| 99221 |
|
15 |
14 |
$474.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
53 |
$80.04 |
| 96161 |
|
27 |
26 |
$0.00 |